有创-无创机械通气序贯治疗用于COPD严重呼吸衰竭患者的临床效果
王佳烈
(内蒙古自治区人民医院,内蒙古 呼和浩特,010020)
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摘要:
目的 分析有创-无创机械通气序贯用于治疗COPD严重呼吸衰竭患者的治疗效果。方法 对30例COPD 严重呼吸衰竭患者进行有创-无创机械通气序贯治疗,观察分析所有患者的治疗效果。结果 治疗后,患者的呼吸频率由(45.51±6.63)次/min 下降至(20.01±2.13)次/min、心率由(95.72±10.62)次/min 下降为(70.58依1.09)次/min、PaCO2水平由(58.81±7.53)mmHg 下降为 (43.46±4.81)mmHg,PaO2水平由(60.20±6.01)mmHg 上升为(82.18±8.64)mmHg(P<0.05),且治疗后未出现各类并发症。结论 有创-无创机械通气序贯治疗能够显著改善COPD严重呼吸衰竭患者的临床症状,可进一步缩短患者的治疗时间,有 效降低其并发症的发生率,值得在临床中推广应用。
关键词:有创-无创序贯机械通气;COPD;严重呼吸衰竭
中图分类号:R563.8文献标志码:A文章编号:2096-1413(2017)11-0077-02
Clinical effiect of invasive and noninvasive mechanical ventilation sequential in COPD patients with
severe respiratory failure
WANG Jia-lie
(People's Hospital of Inner Mongolia Autonomous Region, Hohhot 010020, China)
ABSTRACT: Objective To analyze the effect of invasive and noninvasive mechanical ventilation sequential in COPD patients with severe respiratory failure. Methods Thirty cases of COPD patients with severe respiratory failure were conducted the invasive and noninvasive mechanical ventilation sequential, the clinical effect of all the patients were observed. Results After treatment, the respiratory rate of the patients decreased from (45.51±6.63) times/min to (20.01±2.13) times/min, heart rate decreased from (95.72 ±10.62) times/min to (70.58 ±1.09) times/min, PaCO2 level decreased from (58.81±7.53) mmHg to (43.46±4.81) mmHg, PaO2 level increased from (60.20±6.01) mmHg to (82.18±8.64) mmHg (P<0.05).
Conclusion Invasive and noninvasive sequential mechanical ventilation can significantly improve the clinical symptoms of COPD patients with severe respiratory failure, further shorten the treatment time of patients and effectively reduce the probability of occurrence of complications, which is worth of promoting and application in clinical.
KEYWORDS: invasive and noninvasive sequential mechanical ventilation; COPD; severe respiratory failure
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